Provider First Line Business Practice Location Address:
USA MEDCOM
Provider Second Line Business Practice Location Address:
2050 WORTH ROAD, SUITE 10
Provider Business Practice Location Address City Name:
FORT SAM HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78234-6010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-221-8235
Provider Business Practice Location Address Fax Number:
210-221-7235
Provider Enumeration Date:
01/04/2007